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Otolaryngol Head Neck Surg. 2014 Jul;151(1):125-30. doi: 10.1177/0194599814529538. Epub 2014 Apr 4.

Balloon Dilation of the Cartilaginous Portion of the Eustachian Tube.

Author information

1
Department of Otorhinolaryngology, Päijät-Häme Central Hospital, Lahti, Finland Department of Otolaryngology, Oslo University Hospital, Rikshospitalet, Oslo, Norway juha.silvola@ous-hf.no.
2
Department of Otolaryngology and Communication Enhancement Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA Department of Otorhinolaryngology, Tampere University Hospital and the University of Tampere, Tampere, Finland.
3
Department of Otolaryngology and Communication Enhancement Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.

Abstract

OBJECTIVE:

Studies of balloon Eustachian tuboplasty (BET) have shown encouraging results in small series with short follow-ups. Our pilot study suggested that patients with protracted otitis media with effusion (OME) or atelectasis of the tympanic membrane (TM) could benefit from BET.

STUDY DESIGN:

A prospective study where subjects act as their own controls. Patients from the pilot study and additional cases were enrolled in this cohort with long-term follow-up.

SETTING:

Regional Academic Center.

SUBJECTS AND METHODS:

Out of 80 patients who underwent BET, 41 consecutive Eustachian tube (ET) operations were included. Subjects' inclusion criteria were OME and/or TM atelectasis, type B or C tympanograms, and inability to inflate their middle ears by Valsalva maneuver. All patients had longstanding ET dysfunction relieved only by repeated tympanostomies. Outcomes included ability to perform a Valsalva maneuver, audiometry, tympanometry, videoendoscopy of the ET with mucosal inflammation rating scores, and otomicroscopy.

RESULTS:

All cases were dilated successfully, without significant complications. Mean follow-up was 2.5 years (range, 1.5-4.2 years). Eighty percent (33/41) could do a Valsalva maneuver postoperatively; none of these ears required new tympanostomy tubes and subjective symptoms were relieved. Tympanometry results showed overall improvement. Nine patients had persistent perforations and 3 declined removal of the tube. Subjective symptoms were not relieved for 10% (4/41).

CONCLUSION:

The results show that BET can effectively improve ET function in ears with OME or atelectasis. The procedure is well tolerated and without significant complications. The follow-up continues and we are investigating possible reasons for failures.

KEYWORDS:

Eustachian tube; balloon dilation; secretory otitis media

PMID:
24705223
DOI:
10.1177/0194599814529538
[Indexed for MEDLINE]

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